Kathleen Ann Chuppa, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

16510 Tranquility CT SE
#206
Prior Lake, MN 55372-4452

Phone

(952) 440-3507

NPI assigned

Jan 23, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1932470952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16510 TRANQUILITY CT SE",
            "address_2": "#206",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724452",
            "telephone_number": "952-440-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 TRANQUILITY CT SE",
            "address_2": "#206",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553724452",
            "telephone_number": "952-440-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPPA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Cassens, RN, IBCLC
• Catherine P Chadwick, MD
• Monica A Chase, PT
• Chaska Medical Center (Crossroads Medical Centers PA)
• Madison Sydney Cheever, MPH, RD, LDN, CHES
• Kimberly Ann Churchill
• Cities Care
• Barbara Clare, MS, LMFT
• Julie E Clouse, DDS
• Collins Chiropractic PA

• Massage Therapist in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.